Evidence map›Paper›PMID 31897349›Full record

ArticleJournal of gastric cancer2019

Dorsal Track Control (DTC): A Modified Surgical Technique for Atraumatic Handling of the Distal Esophagus in Esophagojejunostomy.

Nadja Lehwald-Tywuschik, Fabian Steinfurth, Feride Kröpil, Andreas Krieg, Hülya Sarikaya, Wolfram Trudo Knoefel, Martin Krüger, Tahar Benhidjeb, Morris Beshay, Jan Schulte Am Esch

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In one paragraph

Article in Journal of gastric cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.2field-weighted citation impact, top 39% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 2 countries.

Nadja Lehwald-TywuschikDepartment of Surgery, University Hospital Düsseldorf, Düsseldorf, Germany.ORCID https://orcid.org/0000-0001-7663-9618
Fabian SteinfurthCenter of Visceral Medicine, Department of General and Visceral Surgery, Protestant Hospital of Bethel Foundation, Bielefeld, Germany.
Feride KröpilDepartment of Surgery, University Hospital Düsseldorf, Düsseldorf, Germany.
Andreas KriegDepartment of Surgery, University Hospital Düsseldorf, Düsseldorf, Germany.
Hülya SarikayaCenter of Visceral Medicine, Department of General and Visceral Surgery, Protestant Hospital of Bethel Foundation, Bielefeld, Germany.
Wolfram Trudo KnoefelDepartment of Surgery, University Hospital Düsseldorf, Düsseldorf, Germany.
Martin KrügerCenter of Visceral Medicine, Department of Gastroenterology and Internal Medicine, Protestant Hospital of Bethel Foundation, Bielefeld, Germany.
Tahar BenhidjebCenter of Visceral Medicine, Department of General and Visceral Surgery, Protestant Hospital of Bethel Foundation, Bielefeld, Germany.ORCID https://orcid.org/0000-0001-5014-7260
Morris BeshayDepartment of Thoracic Surgery, Protestant Hospital of Bethel Foundation, Bielefeld, Germany.
Jan Schulte Am EschCenter of Visceral Medicine, Department of General and Visceral Surgery, Protestant Hospital of Bethel Foundation, Bielefeld, Germany.ORCID https://orcid.org/0000-0002-2101-5012
Evangelisches Krankenhaus Bielefeld · DEDüsseldorf University Hospital · DEBethel University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Surgical therapy for adenocarcinoma of the esophagogastric junction II requires distal esophagectomy, in which a transhiatal management of the lower esophagus is critical. The 'dorsal track control' (DTC) maneuver presented here facilitates the atraumatic handling of the distal esophagus, in preparation for a circular-stapled esophagojejunostomy. It is based on a ventral semicircular incision in the distal esophagus, with an intact dorsal wall for traction control of the esophagus. The maneuver facilitates the proper placement of the purse-string suture, up to its tying (around the anvil), thus minimizing the manipulation of the remaining esophagus. Furthermore, the dorsally-exposed inner wall surface of the ventrally-opened esophagus serves as a guiding chute that eases anvil insertion into the esophageal lumen. We performed this novel technique in 21 cases, enabling a safe anastomosis up to 10 cm proximal to the Z-line. No anastomotic insufficiency was observed. The DTC technique improves high transhiatal esophagojejunostomy.

Indexed as

AEG IIAnastomosis, surgicalEsophagojejunostomyGastric cancerSurgical training

Identifiers

PMID31897349
PMCPMC6928082
OpenAlexW2987736856

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.